Individual
MADISON IRENE RUNNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 AEROSPACE BLVD, DAYTONA BEACH, FL 32114-3910
(316) 322-5496
Mailing address
8160 N HOOVER RD, VALLEY CENTER, KS 67147-8377
(316) 322-5496
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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